Active NPI
Aja Danielle Walker
- General Practice Dentistry
- McKinney, TX
National Provider Identifier
1245755669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 33279
- Practice address
- 1933 N Central Expy Ste 520
McKinney, TX 75070-3685 - Phone
- (214) 601-7553
- Fax
- (214) 601-7553
- NPI assigned
- Aug 7, 2017
- Last updated
- Aug 7, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 33279 | TX | Primary |
Addresses
Primary practice location
1933 N Central Expy Ste 520
McKinney, TX 75070-3685
Mailing address
1533 Summerwood LN
Cedar Hill, TX 75104-3901
Phone (214) 601-7553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171027000911 | TX | Order and Referring Only - Dentist | 3779859228 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33279 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502064000000",
"number": "1245755669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1533 SUMMERWOOD LN",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751043901",
"telephone_number": "214-601-7553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1933 N CENTRAL EXPY STE 520",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750703685",
"telephone_number": "214-601-7553",
"fax_number": "214-601-7553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "AJA",
"middle_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-07",
"last_updated": "2017-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "33279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.